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California rates for HCPCS A4421

Ostomy supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.55 / $69.31 / $183.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.33 / $2,500.00 / $2,500.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.89 / $306.23 / $449.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.55 / $22.55 / $22.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $19.17 / $22.55
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.49 / $1.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $22.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $19.17 / $22.55